Mandibular fractures: the influence of third molars

shutterstock_172779848

This review of the effect of presences of third molars on mandibular fractures includes 35 observational studies. The findings suggest that the presence of third molars increases the change of mandibular angle fractures.

[read the full story...]

Maxillofacial trauma: assaults and falls the main causes in Europe

shutterstock_2669551

This prospective year long multi-centre study involving 11European counties provides an interesting overview of the current demographics, causes and characteristics of maxillofacial fractures in these centers.

[read the full story...]

Anterior mandibular fractures: review suggests lag screws and 1 plate plus an arch bar were superior to 2 miniplates for fixation

shutterstock_172779848

This is one of a series of reviews that has looked at postoperative complications following different treatments for mandibular fractures. This review focuses on anterior mandibular fractures with the findings suggesting that lag screws and single miniplate plus an arch bar were superior to 2 miniplates

[read the full story...]

Mandibular fractures: review finds that use of a single miniplates reduced postoperative complications

shutterstock_158327204

This review looked at which internal fixation method for mandibular fractures resulted in lowest complication rate. 20 studies were included and they found use of 1 miniplate is superior to using 2 ; and the transbuccally placed lateral miniplate was better than one placed on the external oblique ridge

[read the full story...]

Mandibular fractures: review finds no difference in postoperative complications between locking and non-locking plates

shutterstock_158327204

Today we look at a review that was comparing the clinical outcomes between locking and non-locking plates for the fixation of fractures mandibles. The review identified 10 studies, 8 of which were at high risk of bias. They found that there was no difference in the level of post operative complications between teh different approaches.

[read the full story...]

Review suggests lower complication rates with 3D miniplate fixation of mandibular angle fractures compared with standard miniplates

shutterstock_128569418

Mandibular fractures are relatively common and about 12-40% involve the mandibular angle. The use of three-dimensional (3D) strut plates is increasingly being suggested as an alternative to conventional miniplates. The aim of this review was to assess whether there was a difference in clinical outcomes between standard and 3D miniplates in the management of mandibular [read the full story…]

Limited study suggests that use of semi-rigid plates and screws reduce mandibular fracture treatment costs

shutterstock_158327204

Fractures of the mandible are a common occurrence.  Two approaches to treatment of mandibular fractures are; rigid fixation using large titanium plates and bicortical screws that function in a load-bearing manner using Arbeitsge-menschaft fur Osteosynthesefragen (AO) principles or semi-rigid fixation using small titanium plates and monocortical screws that function in a load-sharing manner placed according [read the full story…]

Inadequate evidence to support the effectiveness of treatment of mandibular fractures without condylar involvement

shutterstock_1033530

Fracture of the mandible is a common facial injury with interpersonal violence and road traffic accidents being the leading causes of this type of injury.  Treatment usually involves immobilisation with intermaxillary fixation (IMF) or other external or internal devices (i.e. plates and screws) to allow bone healing and may involve surgical (open) or non-surgical (closed) [read the full story…]

Little good quality evidence on whether to leave or remove impacted third molars involved in fractures of the angle of the mandible

shutterstock_128569418

Fracture of the mandible often occurs through the angle where it may be closely related to, or involve an impacted third molar. There is a debate about whether they should always be extracted or retained.  The aim of this review was to measure the occurrence of postoperative infection following mandibular fixation performed in the presence [read the full story…]

Plating fractures of the angle of the mandible via a transbuccal approach may result in lower infection rates

shutterstock_5410882 dentist x-ray

The aim of this study was to investigate whether fixation of fractures of  the mandibular angle  using miniplates placed through a transbuccal approach  resulted in lower infection rates that those placed on the mandibular external oblique ridge using an intra-oral approach. What did they do Patients were randomised (by year of birth) to having their [read the full story…]